Healthcare Provider Details

I. General information

NPI: 1245048982
Provider Name (Legal Business Name): VALERIE MCFARLIN LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2024
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 W THUNDERBIRD RD STE F640
GLENDALE AZ
85306-4691
US

IV. Provider business mailing address

5750 W THUNDERBIRD RD STE F640
GLENDALE AZ
85306-4691
US

V. Phone/Fax

Practice location:
  • Phone: 480-300-6065
  • Fax:
Mailing address:
  • Phone: 480-300-6065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberEIN4766876
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLAC20385
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: